Active NPI
Karen Ginnow, RPH
- Pharmacist
- Green Bay, WI
National Provider Identifier
1295333847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10739
- Practice address
- Walmart #1908
2292 Main St
Green Bay, WI 54311 - Phone
- (920) 465-7737
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10739 | WI | Primary |
Addresses
Primary practice location
Walmart #1908
2292 Main St
Green Bay, WI 54311
Mailing address
1550 Waterford CT
Green Bay, WI 54313
Phone (920) 764-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010101 | Other | I HAVE NO OTHER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10739 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1295333847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 WATERFORD CT",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54313",
"telephone_number": "920-764-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALMART #1908",
"address_2": "2292 MAIN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54311",
"telephone_number": "920-465-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINNOW",
"first_name": "KAREN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "I HAVE NO OTHER NUMBER",
"identifier": "010101",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.